Internalized Stigma of Mental Illness Inventory (ISMI)


The internalized stigma of mental illness inventory is a 29 item questionnaire.

Items are scored on a 1-4 scale, with the total scale score calculated as a sum of the items then dividing by the total number of answered items.

There are also five sub-scale scores for example, alienation.

Copyright restrictions:

No restrictions.


Boyd, J. E., Katz, E. P., Otilingam, P. O., Roberts, T. (In press). Internalized stigma of mental illness (ISMI) scale: A multinational review. Comprehensive Psychiatry. 

Boyd, J. E., Otilingam, P. G., DeForge, B. R. (in press). Brief Version of the Internalized Stigma of Mental Illness (ISMI) Scale: Psychometric Properties and Relationship to Depression, Self Esteem, Recovery Orientation, Empowerment, and Perceived Devaluation and Discrimination. Psychiatric Rehabilitation Journal

Lysaker, P. H., Roe, D., Yanos, P. T. (2007). Toward understanding the insight paradox: Internalized stigma moderates the association between insight and social functioning, hope, and self-esteem among people with schizophrenia spectrum disorders. Schizophrenia Bulletin, 33, 192-199. 

Ritsher (Boyd), J. Otilingam, P. O., Grajales, M. (2003). Internalized stigma of mental illness: Psychometric properties of a new measure. Psychiatry Research, 121, 31-49. 

Ritsher (Boyd), J. Phelan, J. (2004).  Internalized stigma predicts erosion of morale among psychiatric outpatients. Psychiatry Research, 129, 257-265.  

Wong, J., Boyd, J. E., Hunt, M. (2013, May). Internalized stigma among PRRC veterans. Poster session presented at the 16th VA Psychology Leadership Conference, San Antonio TX. 

Ethical Considerations:

Mental health could be a sensitive topic.

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